Child Care Sun Safety Implementation Project
Vision Goal Reduce the human and economic To ensure that all South Dakotans impact of cancer on South have access to quality cancer Dakotans through the promotion prevention and control information and support of collaborative, and services in order to reduce the innovative, and effective programs number of new cancer cases as and policies for cancer prevention well as the illness, disability, and and control. death caused by cancer and for survivors to live the best quality of life possible.
Reduce Ultraviolet Radiation Exposure
The Community Guide: Skin Cancer: Child Care Center-Based Interventions • Educational and behavioral interventions - provide information about sun safety and the effects of UV, and may be directed to children, their caregivers, or both. Messages delivered in lectures or through small media can be reinforced by modeling or role- playing . • Sun-protective environmental and policy changes - increase the availability of sun-protective items, adding sun-protective features to the physical environment, and implementing sun- protection policies
Skin Cancer: The Facts
Sunscreen Use in South Dakota In 2014, 24% of South Dakota adults always or nearly always wore sunscreen with an SPF of 15 or higher when they were outside for more than one hour on a sunny day. In 2015, 9.6% of children, grades 9 - 12, who most of the time or always wear sunscreen with an SPF of 15 or higher when they are outside for more than one hour on a sunny day.
Recommendations to Protect Children from UV Exposure • Monitor the UV Index • Seek shade . Plan indoor activities during the midday (10am-4pm) or seek shade under tree/shade structure. • Sun Safe Clothing . • Long-sleeve shirts and pants when possible. • Wide-brimmed hat. • Sunglass, shatter resistant. • Apply Sunscreen. SPF 30+, UVA and UVB.
Sun Safety Strategies: Policy, Systems, and Environment Change
Policy Change Includes the passing of laws, ordinances, resolutions, mandates, regulations, rules, protocols, and/or procedures that are designed to guide or influence positive behavior change and the choices we make in our lives.
Systems Change Systems change involves modifications made to the rules within an organization.
Environmental Changes
Sun Safety for Child Care Program Model Policy This model policy provides a framework for supporting a sun safe child care program and aligns with the Sun Safety Standard 3.4.5.1 of the National Health and Safety Performance Standards Guidelines for Early Care and Education Programs.
Childcare Model Policies Resource: http://goodandhealthysd.org/childcare/policies/
Examples of Sun Safety Policy Strategies • Track the UV Index and engage parents and children in tracking • Provide sun safety education to children • Apply sunscreen to all exposed areas of skin, including cheeks, neck, arms, legs, behind the ears, and on the nose. • Create shade using wide umbrellas, awnings, pop-up tents, and shade structures. These can also be used to divide the playground into outdoor learning centers. • Request that families send in hats with a brim, labeled with their child’s name.
Train Child Care Staff and Parents/Guardians • Ask a dermatologist, nurse, or other expert to come to the program to talk with staff and parents/guardians about sun safety and the dangers of overexposure. • Provide regular booster training sessions to sustain staff awareness and support of sun protection measures. • Utilize sun safety educational resources • Include parent permission form for sun safety practices into policy
RFA Overview
RFA Overview • Purpose – The South Dakota Department of Health will assist child care programs interested in implementing a sun safety policy and evidence-based sun safety interventions to reduce the burden of skin cancer. • Eligibility: SD Child Care Programs currently licenses or registered with SD Department of Social Services. • Award: Home based child care programs may request up to $250 and center based child care programs may request up to $500, with up to ten applicants funded. Budget requests should be commensurate with the number of guidelines and activities proposed and total number of individuals impacted
RFA Overview • Funding Parameters: • Required to adopt or update a UV protection/sun safety policy and implement sun safety strategies that support the policy. • Funding should be used to enhance sustainable sun safety policy, system, and environment changes. Changes, including the provision of shade cover, application and reapplication of sunscreen, and engagement of parents in policy changes through a parent permission form are evidence-based strategies recommended for a sun safe child care program. • Project activities must occur within South Dakota and serve South Dakotans. • Policy Development – The Sun Safety for Child Care Programs Model Policy will guide policy development and adoption. • Sun Safety Strategies – Implement evidence-based strategies that support the policy • Environmental Approaches to encourage sun protection • Educational Approaches
RFA Budget Funds CAN be used for items such as: Bulk sunscreen, dispenser rack, smaller bottles to transport sunscreen for reapplication, umbrellas and temporary shade, or educational materials and printing expenses Budget Cost Estimated Support or justification for policy, system or Item Quantity per Total Cost environmental change unit Gallon 30 SPF Support implementation of UV protection Bulk Sunscreen 2 $120 $240 policy and requirement for employees/children for to wear sunscreen Staff/Children Wall Mount Support implementation of UV protection 1 $20 $20 Bracket policy and sunscreen use requirement Support implementation of UV protection Umbrella 2 $75 $150 policy; enhance environment to encourage UV protection Budget Total $410.00
RFA Schedule Date Request for grant applications released and posted to March 21, 2018 http://www.cancersd.com/ Preliminary webinar to discuss the RFA, grant writing, and April 4, 2018, 1pm CST evidence-based strategies for sun safety. Open to any potential applicants to participate. To join use the following link: https://zoom.us/j/8067059502 Or telephone: (Dial: 1 646 558 8656 | Meeting ID: 806 705 9502) Last day for questions and to request review of grant April 24, 2018 application Please direct questions to: lexi.pugsley@state.sd.us Application submission deadline Deadline: 5:00pm CT on April 25, 2018 Notice of grant award issued (via email) Week of May 14th (tentative) Project Period June 1, 2018 – September 30, 2018
RFA: Project Plan Sun Safety Guidelines ☐ Limit sun exposure between 10 AM and 4 PM, when UV rays are strongest. The availability of shade will be considered when planning excursions and outdoor activities during these times.* Activity(s) Person(s) Timeline Resources Needed Responsible ☐ Monitor the heat index and schedule outdoor activities accordingly. Staff and children will be watch carefully for heat-related illnesses. Activity(s) Person(s) Timeline Resources Needed Responsible ☐ Staff and children will wear sun-protective clothing and equipment, when outside, including: a hat, child safe resistant sunglasses, sun-protective clothing.* Activity(s) Person(s) Timeline Resources Needed Responsible
RFA: Appendices Policy Adoption Sun Safety Policy Adoption Work with the center director to develop a policy based on the model policy. Propose the policy for board review and approval. Purchase resources to support implementation of policy. Implement policy. Sun Safety Guidelines and Activities Limit sun exposure between 10 AM and 4 PM, when UV rays are strongest. The availability of shade will be considered when planning excursions and outdoor activities during these times. Schedule outdoor activities and excursions in a manner that reduces UV exposure. Monitor the heat index and schedule outdoor activities accordingly. Staff and children will be watch carefully for heat-related illnesses. Monitor and post UV Index daily for staff and children to see. Staff will keep children indoor if the UV Index is 6 or higher. Staff and children will wear sun-protective clothing and equipment, when outside, including: a hat, child safe resistant sunglasses, sun-protective clothing. Purchase hats, child care resistant sunglasses, and/or protective clothing. Recommend or require parents purchase hats, child care resistant sunglasses, and/or protective clothing for their child(ren). Recommended or require staff wear a hat, sunglasses, and/or protective clothing when outside with children.
Project Timeline Activity June July Aug Sept Kick-off call with project staff: Child Care Program Role in Skin Cancer Prevention, Project Overview, and Project Plan Review Conduct staff pre-assessment Implement Project Plan - Develop and obtain approval of policy - Implement sun safety strategies - Train and communicate the policy to staff and parents/guardians Conduct staff post-assessment Submit Progress Report and Success Story to DOH
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